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Rehabilitation Practice and Science

Translated Title

偏癱患者進行下肢阻力訓練對平衡能力之影響

Abstract

Background and Purpose: Balance ability is one of the important influencing factors of the quality of life of hemiplegic patients. It is to prevent falls and maintain self-care and independent walking ability. Lower extremity resistance training can effectively improve muscle strength, muscle power, and balance. However, studies focused on balance and muscle power are scarce. Therefore, this study was aimed at investigating the effects of resistance training interventions on the balance ability of hemiplegic patients. Methods: In this study, 35 hemiplegic patients participated, with a mean age of 54.3 ± 17.9 years. The participants received resistance training for 18 weeks, twice per week, using lower extremity pneumatic resistance machines. Three main modes were used, namely horizontal leg press, knee extension, and knee curl. Muscle performance (strength, power), Balance (Berg balance scale [BBS], and computerized posturography), and body composition were measured. Results: We found a significant improvement in muscle strength and muscle power after resistance training (p < .01; p < .01), and a significant difference in BBS score after training (p < .05). However, no statistically significant difference was found in computerized posturography findings. BBS score positively correlated with lower extremity muscle strength in terms of leg press (r = .54, p = .007), knee extension (r = .56, p = .004), and knee curl (r = .49, p = .014), and with lower extremity muscle power in terms of leg press (r = .51, p = .002) and knee extension (r = .44, p = .009). No statistically significant difference was observed in knee curl. Conclusion: Lower extremity resistance training can improve balance in hemiplegic patients. Therefore, lower extremity resistance training can be considered as routine training option for hemiplegic patients.

Language

Traditional Chinese

First Page

19

Last Page

25

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